Organization
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Active
Other names
LifeBridge Community Gastroenterology LLC at Dorsey Hall
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization
Contact information
Practice address
4801 DORSEY HALL DR STE 220, ELLICOTT CITY, MD 21042-7749
(410) 602-7782
(410) 602-9344
Mailing address
4801 DORSEY HALL DR STE 220, ELLICOTT CITY, MD 21042-7749
(410) 602-7782
(410) 602-9344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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